Active NPI
Maryann Katherine Rubis, O.D.
- Optometrist
- Springfield, MA
National Provider Identifier
1659380194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3541
- Practice address
- 1515 Allen St
Suite E
Springfield, MA 01118-1803 - Phone
- (413) 782-0030
- Fax
- (413) 796-1985
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3541 | MA | Primary |
Addresses
Primary practice location
1515 Allen St
Suite E
Springfield, MA 01118-1803
Mailing address
1515 Allen St
Suite E
Springfield, MA 01118-1803
Phone (413) 782-0030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0355852 | Medicaid | MA | |
| W15794 | Other | MA | BLUE CROSS BLUE SHIELD |
| 3541 | Other | MA | MASSACHUSETTS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 Allen St
Springfield, MA 01118-1803
Phone (413) 782-0030
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.06 of 100
- Quality
- 90.03
- Improvement activities
- 40
- Cost
- 73.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3541 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Eye Excellence | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Past | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients |
Locations
1515 Allen St
Springfield, MA 01118
Phone (413) 782-0030
1515 Allen St
Ste E
Springfield, MA 01118
Phone (413) 782-0030
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Springfield, MA
- NPI 1467649715
-
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659380194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 ALLEN ST",
"address_2": "SUITE E",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181803",
"telephone_number": "413-782-0030",
"fax_number": "413-796-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ALLEN ST",
"address_2": "SUITE E",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181803",
"telephone_number": "413-782-0030",
"fax_number": "413-796-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIS",
"first_name": "MARYANN",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0355852",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W15794",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS LICENSE",
"identifier": "3541",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.